Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis

Luciana Pardini Chamié, Luciana P Chamié, Roberto Blasbalg, Manoel O C Gonçalves, M. O. C. Gonçalves, Filomena Marino Carvalho, Filomena M Carvalho, Maurício S Abrão, Maurício Simões Abrão, Ilka S de Oliveira
International Journal of Gynecology & Obstetrics · 2009 · vol. 106(3) , pp. 198–201 · doi:10.1016/j.ijgo.2009.04.013 · PMID:19467541 · W2075206407
article OA: closed CC0 ⤵ 100 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study evaluated MRI's accuracy for diagnosing deeply infiltrating endometriosis, finding high accuracy in the retrocervical space, rectosigmoid, bladder, ureters, and vagina compared to surgical and histopathology findings.

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Abstract

OBJECTIVE: To evaluate the accuracy of preoperative magnetic resonance imaging (MRI) findings relative to surgical presence of deeply infiltrating endometriosis (DIE). METHODS: This prospective study included 92 women with clinical suspicion of DIE. The MR images were compared with laparoscopy and pathology findings. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of MRI for diagnosis of DIE were assessed. RESULTS: DIE was confirmed at histopathology in 77 of the 92 patients (83.7%). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of MRI to diagnose DIE at each of the specific sites evaluated were as follows: retrocervical space (89.4%, 92.3%, 96.7%, 77.4%, 90.2%); rectosigmoid (86.0%, 92.9%, 93.5%, 84.8%, 89.1%); bladder (23.1%, 100%, 100%, 88.8%, 89.1%); ureters (50.0%, 100%, 95.5%, 95.7%); and vagina (72.7%, 100%, 100%, 96.4%, 96.7%). CONCLUSION: MRI demonstrates high accuracy in diagnosing DIE in the retrocervical region, rectosigmoid, bladder, ureters, and vagina.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Abdominal Cavity Endometriosis Magnetic Resonance Imaging Abdominal Cavity Adult Cross-Sectional Studies Endometriosis Endometriosis Female Humans Laparoscopy Middle Aged Prospective Studies Sensitivity and Specificity Ureteral Diseases Ureteral Diseases Ureteral Diseases Urinary Bladder Diseases Urinary Bladder Diseases Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Cited by (50)

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